When should a PULHES 'H' be referred for further evaluation?

A PULHES 'H' designation refers to a person's hearing capability as part of the military's physical profile system, specifically focusing on hearing. The correct choice indicates that a referral for further evaluation is necessary when a DOEHRS-HC (Defense Occupational and Environmental Health Readiness System - Hearing Conservation) test projects a profile greater than H2.

This is important because a profile greater than H2 signifies a moderate to severe degree of hearing impairment that could affect a service member's ability to perform their duties. This would necessitate a more thorough evaluation to determine the nature and extent of the hearing loss, as well as to assess any required accommodations or interventions. By referring individuals with a profile greater than H2, it ensures that those who may have significant hearing issues receive appropriate care and support, thereby safeguarding operational effectiveness and maintaining hearing health within military populations.

The context behind the other options further clarifies this requirement. A profile greater than H1 indicates slight hearing deficits may not always require immediate referral; slight impairments may be monitored without further action. If only slight hearing impairment is detected, a referral might not be necessary. Similarly, if an individual reports no changes in hearing, it suggests they may not be experiencing significant hearing loss, and